ER Check-In - North Campus Tyler

Submitted by ahs-admin on Tue, 11/24/2020 - 12:44

If you have chest pain, bad stomach pain, trouble breathing or think you may be having a stroke, call 911 or go to the nearest emergency room.

First Name *

Last Name *

Date of Birth *

Month

Day

Year

Legal Sex *

Mobile Number *

Reason for Visit *

How Long Until Your Arrive? *

Have you been treated at any UT Health East Texas facility in the past 2 years? *

We do our best to meet your requested time, however patients are treated based on severity. Thank you for your understanding and if you have any questions please ask the ER staff.